Active NPI
Jennifer Ann Lawrence, MA LMFT
- Marriage & Family Therapist
- Big Lake, MN
National Provider Identifier
1598983470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1631
- Practice address
- 35 Lake Street South #200
Big Lake, MN 55309 - Phone
- (763) 263-7896
- Fax
- (763) 263-7897
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1631 | MN | Primary |
Addresses
Primary practice location
35 Lake Street South #200
Big Lake, MN 55309
Mailing address
3910 Baker Rd
Minnetonka, MN 55305-4904
Phone (952) 237-0344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231917000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1631 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1598983470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 BAKER RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553054904",
"telephone_number": "952-237-0344",
"fax_number": "763-263-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 LAKE STREET SOUTH #200",
"city": "BIG LAKE",
"state": "MN",
"postal_code": "55309",
"telephone_number": "763-263-7896",
"fax_number": "763-263-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "MA LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "231917000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Big Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.